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1396457453
SUSAN A CARRELL
MERIDIAN, ID
NPI
1396457453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1635)
Enumeration Date
2022-12-21
Last Update Date
2022-12-21
Business Address
SUSAN A CARRELL
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5000
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Mailing Address
SUSAN A CARRELL
5006 W OUTLOOK AVE
BOISE, ID 83703-3515
Phone number: 208-850-8434
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